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Anatomical-topographic comparison of surgical approaches to pterygopalatine fossa and infratemporal fossa

https://doi.org/10.17650/1683-3295-2014-0-4-32-37

Abstract

Objective. To optimize the decision algorithm of appropriate surgical approach based on topographical characteristics of approaches and features of lesions localization. Material and methods. The modeling of approaches to pterygopalatine fossa and infratemporal fossa were performed on 30 fresh specimens «head-neck». The craniometric measurements as well as examination of generally accepted and additional criteria were conducted for evaluation of surgical approaches. Results. The mathematic analysis of operative wound parameters was performed while modeling the examined surgical approaches. These examined surgical approaches were compared using the following parameters: depth of operative wound, angle of operative direction and area of operative intention. Conclusion. The transfacial approaches (in particular the group of translocation approaches) are the most usable in case of tumor localization predominantly in pterygopalatine fossa, parapharyngeal space and or with its expansion along the external surface of skull base with imperceptible intracranial growth. The craniobasal and combined approaches must be used in case of tumor localization in infratemporal fossa, while usage of only transzygomatic approach is suitable for intracranial tumor with just minor lateral extracranial expansion.

About the Authors

I. Yu. Belov
ФГБУ «РНХИ им. проф. А.Л. Поленова» Минздрава России
Russian Federation


D. A. Gulyaev
ФГБУ «РНХИ им. проф. А.Л. Поленова» Минздрава России
Russian Federation


N. A. Primak
ФГБУ «РНХИ им. проф. А.Л. Поленова» Минздрава России
Russian Federation


S. Ya. Chebotarev
Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова
Russian Federation


V. V. Gorban’
Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова
Russian Federation


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Review

For citations:


Belov I.Yu., Gulyaev D.A., Primak N.A., Chebotarev S.Ya., Gorban’ V.V. Anatomical-topographic comparison of surgical approaches to pterygopalatine fossa and infratemporal fossa. Russian journal of neurosurgery. 2014;(4):32-37. (In Russ.) https://doi.org/10.17650/1683-3295-2014-0-4-32-37

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